FY2021 MCPS Employee Charity Campaign

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FY2021 MCPS Employee Charity Campaign

Open October 12, 2020 through November 6, 2020
PLEASE COMPLETE THE FORM and submit using the button at the end. You may support more than one charity, however, please limit payroll deductions to three (3) selections. Payroll deduction amounts and funds should be entered in the drop down menus you will see later in this form.

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Employee ID Number

Your answer

Employee Name

Your answer

Employee Location Number

Your answer

Location Name (Office, School etc.)

Your answer

Job Code (Found on Timesheet)

Your answer

E-mail Address

Your answer

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